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HOUSE HEATING TEST RECORD <br /> ADDRESS �.�i�� L��IV��1�� APT. FLOOR CITY ���✓CSUBURB <br /> OCCUPANT OWNER /'7�Y C'� C1/�G� Jt`% <br /> HEAT LOSS - �C ' DATE HTG. INST. I <br /> SOLD BY 1-A- �—/¢��_�{�r� INSTALLED BY `� K� "/��� <br /> � <br /> Electrical Work By Gas Line By �� — <br /> TYPE OF HEAT GA FA�HW STEAM SPACE HTR. UNIT HTR. OTHER <br /> GAS DESIGN CONVERSION <br /> MAKE C�� G � MAKE OF BURNER <br /> Model � ' <br /> - Model <br /> Serial ��t��� ����,�i Max. BTU Rating <br /> INPUT �' eG'G MAKE OF FURNACE <br /> Model <br /> CONTROLS <br /> THERMOSTAT� Heat Plug Vent Size S `/ CL��S � <br /> Valve.�i�� �R��C KIND OF LINER SIZE NONE <br /> Limit Draft Hood Regularor <br /> Limit Setting �� e�� Filters $ize Number <br /> 0 <br /> Fan Setting ��� Chimney Location Inside Outside <br /> Pilot Type S'���i�� Chimney Construction <br /> Pilot Make —��,�,� <br /> Pilot Model Smoke Bomb Wiring <br /> Pilot Timing Draft Test Tag L'� <br /> L.W. Cut Off Door Pressure Lighting Inst. <br /> ��f <br /> Pressure 3� Percent CO2 7/ � Date Tested �� • ' � <br /> Input CFH ��.�n _n Percent 0 F'�� Company Testing f- � <br /> 2 <br /> Stack Temp. -����_Percent CO 0 Name of Tester �� "v <br /> Form 235 <br />